Provider Demographics
NPI:1851395776
Name:SMILEY, NASSER H (MD)
Entity Type:Individual
Prefix:
First Name:NASSER
Middle Name:H
Last Name:SMILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 N MCCORD RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1753
Mailing Address - Country:US
Mailing Address - Phone:419-842-3000
Mailing Address - Fax:419-842-3048
Practice Address - Street 1:2940 N MCCORD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615
Practice Address - Country:US
Practice Address - Phone:419-842-3000
Practice Address - Fax:419-842-3048
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055731S207RC0000X
MI4301112965207RC0000X, 207RC0001X
OH35055731207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0814640Medicaid
P00711895OtherRRMC
OH4160621Medicare PIN
OH0687588Medicare PIN
OH0687585Medicare PIN
OH4010477Medicare PIN
E74179Medicare UPIN
OH0814640Medicaid
OH4160622Medicare PIN
OH4160623Medicare PIN
OH4010476Medicare PIN
OH0687589Medicare PIN
OH060026349Medicare PIN
OH4010474Medicare PIN
OH4010479Medicare PIN
OHSM4160624Medicare PIN